| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $57.03 | $152.12 | $375.00 | |
Cigna
| Professional | $50.36 | $69.43 | $92.25 | |
HMSA
| Professional | $22.53 | $197.57 | $236.03 | |
United
| Professional | $87.20 | $164.60 | $164.60 |
Guidance for localization of target volume for delivery of radiation treatment, includes intrafraction tracking, when performed
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $57.03 | $152.12 | $375.00 | |
Cigna
| Professional | $50.36 | $69.43 | $92.25 | |
HMSA
| Professional | $22.53 | $197.57 | $236.03 | |
United
| Professional | $87.20 | $164.60 | $164.60 |